Individual
DR. JAE SUNG CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9470 ANNAPOLIS RD, 306, LANHAM, MD 20706-3025
(301) 459-1691
(301) 577-2473
Mailing address
10301 STRATHMORE HALL ST APT 218, NORTH BETHESDA, MD 20852-6684
(301) 897-4767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D19250
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211
—
MD
Enumeration date
01/11/2007
Last updated
07/08/2007
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